Dr Matthew James Connolly, DPM is a medicare enrolled "Podiatrist" provider in Edgewood, Kentucky. He went to Kent State University College Of Podiatric Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Orthocincy Orthopaedics And Sports Medicine Psc and his current practice location is
560 S Loop Rd, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 301-2663.
Dr Matthew James Connolly is licensed to practice in Kentucky (license number 244122) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023010279.
Healthcare Provider's Profile
| Full Name | Dr Matthew James Connolly |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 38 Years |
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| Location | 560 S Loop Rd, Edgewood, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Matthew James Connolly attended and graduated from Kent State University College Of Podiatric Medicine in 1986
NPI Data:
- NPI Number: 1023010279
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759294168
- Enrollment ID: I20091205000077
Medical Identifiers
Medical identifiers for Dr Matthew James Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023010279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 244122 (Kentucky) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 00180 (Kentucky) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00180 (Kentucky) | Secondary |
| 213E00000X | Podiatrist | 244122 (Kentucky) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 244122 (Kentucky) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 141 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Matthew James Connolly allows following entities to bill medicare on his behalf.
| Provider Name | Orthocincy Orthopaedics & Sports Medicine Psc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598714560
PECOS PAC ID: 3173500196
Enrollment ID: O20040707000498 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew James Connolly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Matthew James Connolly, DPM
560 S Loop Rd,
Edgewood, KY 41017-3405
Ph: (859) 301-2663 | Dr Matthew James Connolly, DPM
560 S Loop Rd,
Edgewood, KY 41017-3405
Ph: (859) 301-2663 |
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